Selvan Advika Thamarai, Agarwal Ishita, Behera Bijayini, Singh Sweta
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Bhubaneswar, India.
Department of Microbiology, All India Institute of Medical Sciences, Bhubaneswar, India.
Obstet Med. 2024 Mar;17(1):58-60. doi: 10.1177/1753495X221122593. Epub 2022 Sep 18.
Scrub typhus shows a high prevalence in South-East Asia. In pregnant females, it can cause both maternal and fetal adverse outcomes. We report a case series of two women with scrub typhus and their varied outcomes. A 25-year-old primigravida treated for scrub typhus at 23 weeks' gestation presented at 34 weeks with stage three fetal growth restriction (FGR). Caesarean delivery was performed. The neonate had biliary atresia. A 24-year-old primigravida at 31 weeks' gestation was referred from a local hospital due to scrub typhus induced multi-organ dysfunction. She had FGR stage 1 with oligohydramnios. Emergency caesarean delivery was performed in view of acute fetal bradycardia. There is an emerging need for research to reassess what is already known about scrub typhus in pregnancy and to develop techniques for its treatment inorder to achieve a positive maternal and neonatal outcome in these cases.
恙虫病在东南亚地区高发。对于孕妇而言，它可导致母婴不良结局。我们报告了两例恙虫病女性患者及其不同结局的病例系列。一名25岁初产妇在妊娠23周时接受恙虫病治疗，34周时出现三级胎儿生长受限（FGR）。实施了剖宫产。新生儿患有胆道闭锁。一名24岁初产妇在妊娠31周时因恙虫病诱发多器官功能障碍从当地医院转诊而来。她患有一级FGR伴羊水过少。鉴于急性胎儿心动过缓，实施了急诊剖宫产。迫切需要开展研究，重新评估关于妊娠期恙虫病的已知情况，并开发其治疗技术，以便在这些病例中实现母婴良好结局。
